Individual ProviderBruce A WoodFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address259 Jonesboro Rd, Mcdonough, GA 30253-3769(770) 957-8666(678) 284-6300PECOS EnrollmentBased on the most recent information from CMS, provider Bruce A Wood does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1437129871Provider TypeIndividualFull NameWood, Bruce ACredentialDOGenderMaleSole ProprietorNoEnumeration Date1/26/2006Last Updated3/16/2015Contact InformationPractice LocationPractice Address259 Jonesboro Rd, Mcdonough, GA 30253-3769Phone(770) 957-8666Fax(770) 957-0375Mailing LocationMailing Address290 Country Club Dr, Suite220, Stockbridge, GA 30281-9069Phone(678) 284-6300Fax(678) 284-6336Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense023516GeorgiaProvider IdentifiersIDDescriptionIssuerID000240699EDescriptionMedicaidIssuerUnlistedGeorgia